Tag Archives: Nutrition and Depression: Advanced Clinical Concepts

Mental illness has become a widespread epidemic across not only the United States, but around the world. Depression, in particular, is increasingly common—shown to affect up to 20 percent of the general population during some point in their lives. The current treatments available for mental health conditions such as depression and anxiety, including medication and therapy, do not always provide relief for patients. In fact, as many as half of all patients who are prescribed an SSRI for depression will find the first medication they try insufficient.

People are turning more to alternatives in the hopes of better treating their mental health conditions. This has led to a sizable market of people seeking relief not found in conventional medications and treatments. Certain forms of dietary supplements, especially those that contain probiotics and enzymes, have shown promising results in clinical trials and hold the hope of a new way to treat these serious and often life-threatening illnesses.

Dietary Supplement Use

About half of all Americans take a dietary supplement, and many of these are people looking to find a natural treatment for their mental or mood conditions. This can be due to side effects experienced on psychotropic medications or a lack of sufficient relief of their symptoms. Chronic mental health issues, such as a major depressive disorder or generalized anxiety, are a predictor of dietary supplement use. Medical practitioners as well are searching for innovative alternatives to standard mental health interventions that provide better results.

Dietary
supplements can present an affordable alternative when the cost of medication
and ongoing therapy is prohibitive, which is the reality for many patients. In
a 2002 study, it was found that 35 percent of internet users searched for
information on alternative and complementary treatments for their medical
conditions, and this number has skyrocketed in the years since.

Much
research has shown that a person’s diet can significantly affect their mental
health, both directly and indirectly, by influencing the production and use of
key neurotransmitters in the brain. However, many people following a standard
American diet struggle to get adequate intake of essential nutrients.

For many years, treatments were centered on influencing the brain’s chemistry directly via medications that increased neurotransmitters such as serotonin and dopamine. Now the focus has turned to exploring the impact of digestive health on the brain.

The Brain-Gut Axis

Increasingly,
researchers are learning more about what is termed the “brain-gut axis.” This
connection between the central nervous system and the digestive tract was
discovered in the last few decades and has been investigated for antidepressant
and anti-anxiety efforts. It’s theorized that the brain and digestive system
communicate continuously with one another. Psychiatric disorders have been
linked to changes in the bacteria that live inside the gut.

Only recently did researchers find there is a separate nervous system located inside the intestine, which produces the same neurotransmitters as the brain. An imbalance of these neurotransmitters in the gut can create problems, just like it can with the brain. These problems present in the form of gastrointestinal symptoms.

The Birth of Nutritional Psychiatry

Nutritional
psychiatry is a term that encompasses this new frontier of psychiatry which
explores this brain-gut axis further, focusing on how diet affects each
individual’s mental health. Dietary supplements can be an important factor,
filling any nutritional gaps as well as providing additional support for the
body.

A type of dietary supplementation of particular usefulness is probiotics. Probiotics (often called
“good bacteria”) are microorganisms that live naturally in the digestive
system. Forty types of probiotics have been identified as naturally occurring
in a healthy human gut. Supplementation can be effective when an imbalance of
gut bacteria is suspected. Probiotics have been shown to provide a therapeutic
effect for many patients, not only in regard to their digestive problems but
also with their mental health.

Another useful dietary supplement is digestive enzymes. Digestive enzymes are crucial to the natural breakdown of foods in the body. Studies have shown that many people with depression and anxiety lack sufficient enzymes, making proper absorption of vitamins, minerals and medications a challenge. The introduction of digestive enzymes as a dietary supplement allows the body to properly absorb these elements, potentially improving depression and anxiety symptoms.

Probiotics and prebiotics have gained massive popularity in recent years and are now the third most sought-after natural product in the United States. Therefore, the addition of probiotics and prebiotics to a product can significantly enhance its profitability. With the possibility of not only supporting digestive health but improving mental health, this number can only grow. Enzymes, too, have shown a significant benefit to patients suffering both digestive woes and mild to moderate mental disorders.

Gastrointestinal Disorders and Mental Health

Mental
health and gastrointestinal disturbances are often linked, as with the case of
irritable bowel syndrome (IBS). In one study of 44 adults who were suffering
from both IBS and depression, over half of the patients in the non-placebo
group had a significant reduction in their depression scores after six weeks.
One theory is that for some patients, by clearing up worrisome physical
symptoms, mental health improves.

However,
direct activity on neurotransmitters has also been demonstrated. In the study,
changes were seen in the limbic system, which is responsible for processing
emotions. This suggests the use of probiotics in some patients could play an
essential part in improving their mental health. The addition of probiotics was
also shown to increase brain-derived neurotrophic factor (BDNF) which plays a major
role in neuroplasticity and memory and is usually reduced in patients diagnosed
with depression.

Research Findings for Probiotics

While studies are still limited, findings have been extremely promising. Numerous studies have suggested that using a dietary supplement featuring probiotics and enzymes can improve the symptoms of certain mental health conditions, especially major depressive disorder. Probiotics, in particular, have been demonstrated to positively affect neurotransmitter activity, thereby improving depression and anxiety in some patients.

This is
mainly due to the neurotransmitter serotonin, which is also a target of most
antidepressants. While antidepressants prevent the reuptake of serotonin into
the synapses, probiotics may regulate the amount of serotonin produced and
improve the body’s ability to use this crucial neurotransmitter.

Precautions

As certain
dietary supplements have the potential to have adverse interactions with
prescription drugs or other supplements, the patient must always consult with
their doctor and inform them fully of all dietary supplements they’re taking.
Side effects should be reported promptly.

In Conclusion

A review of the current literature shows a promising link between dietary supplements, enzymes and probiotics, and the relief of mental health symptoms, and probiotics manufacturers are taking note. Sufficient evidence suggests that adding specialized dietary supplements with enzymes and probiotics to the diet of someone suffering from depression or anxiety may be beneficial, whether or not they’re currently taking a prescription for the condition. With these findings, more manufacturers are opting to further explore the link between dietary supplementation and mental health treatment.

Related Online Continuing Education (CE) Courses:

Nutrition and Mental Health: Advanced Clinical Concepts is a 1-hour online continuing education (CE/CEU) course that examines how what we eat influences how we feel, both physically and mentally. While the role of adequate nutrition in maintaining mental health has been established for some time, just how clinicians go about providing the right nutritional information to the patient at the right time – to not just ensure good mental health, but actually optimize mood – has not been so clear. With myriad diets, weight loss supplements and programs, clients often find themselves reaching for the next best nutritional solution, all the while, unsure how they will feel, or even what to eat to feel better. On the other side of the equation, clinicians so often face not just a client’s emotional, situational, and relational concerns, but concerns that are clearly mired in how the client feels physically, and what impact his/her nutritional health may have on these concerns. For example, research into the role of blood sugar levels has demonstrated a clear crossover with client impulse control. Additionally, the gut microbiome, and its role in serotonin production and regulation has consistently made clear that without good gut health, mitigating anxiety and depression becomes close to impossible.

So if good mental health begins with good nutritional health, where should clinicians start? What advice should they give to a depressed client? An anxious client? A client with impulse control problems? This course will answer these questions and more. Comprised of three sections, the course will begin with an overview of macronutrient intake and mental health, examining recent popular movements such as intermittent fasting, carb cycling and ketogenic diets, and their impact on mental health. In section two, we will look specifically at the role of blood sugar on mental health, and research that implicates blood sugar as both an emotional and behavioral regulator. Gut health, and specifically the gut microbiome, and its influence on mood and behavior will then be explored. Lastly, specific diagnoses and the way they are impacted by specific vitamins and minerals will be considered. Section three will deliver specific tools, you, the clinician, can use with your clients to assess, improve and maximize nutrition to optimize mental health. ourse #11-06 | 2017 | 21 pages | 10 posttest questions

Depression is an increasingly common, complex, inflammatory condition that co-occurs with a host of other conditions. This course will examine how we can combat depression through nutrition, starting with an exploration of the etiology of depression – taking a look at the role of neurotransmitters, the HPA axis and cortisol, gene expression (epigenetics), upregulation and downregulation, and the connections between depression and immunity and depression and obesity. We will then turn our attention to macronutrients and investigate how factors such as regulating blood sugar, achieving amino acid balance, consuming the right fats, and eating fruits and vegetables can enhance mood, improve our decision-making, enhance cognitive processes, and reduce inflammation. From there, we will look at just how we go about the process of building a better brain – one neurotransmitter at a time. Exercises you can use with clients are included. Course #31-02 | 2018 | 42 pages | 20 posttest questions

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Professional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. We are approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within a few days of completion).

Depression is an increasingly common, complex, inflammatory condition that co-occurs with a host of other conditions. This course will examine how we can combat depression through nutrition, starting with an exploration of the etiology of depression – taking a look at the role of neurotransmitters, the HPA axis and cortisol, gene expression (epigenetics), upregulation and downregulation, and the connections between depression and immunity and depression and obesity. We will then turn our attention to macronutrients and investigate how factors such as regulating blood sugar, achieving amino acid balance, consuming the right fats, and eating fruits and vegetables can enhance mood, improve our decision-making, enhance cognitive processes, and reduce inflammation. From there, we will look at just how we go about the process of building a better brain – one neurotransmitter at a time. Exercises you can use with clients are included. Course #31-02 | 2018 | 42 pages | 20 posttest questions

This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion.

Professional Development Resources is approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).